VARPRO is a novel fat water separation sequence that shows promise for myocardial lipid characterization. Two questions were addressed in this study: 1. Does VARPRO provide the same myocardial fat-fraction result compared to established magnetic resonance spectroscopy (MRS)? 2. Is the myocardial fat-fraction obtained by VARPRO reproducible? The results suggest the two methods are strongly associated but agreed poorly. The VARPRO estimation is proportionally biased, however, the bias can be easily accounted for using a linear equation. The temporal reproducibility of VARPRO is satisfactory. VARPRO could be a potential, alternative modality to MRS in myocardial lipid quantification.
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